Provider Demographics
NPI:1073695078
Name:LAPOFF, KEVIN HOWARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:HOWARD
Last Name:LAPOFF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6422 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3008
Mailing Address - Country:US
Mailing Address - Phone:561-968-2222
Mailing Address - Fax:561-641-4566
Practice Address - Street 1:6422 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-3008
Practice Address - Country:US
Practice Address - Phone:561-968-2222
Practice Address - Fax:561-641-4566
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP0001948213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390030400Medicaid
FL0092854OtherCIGNA PROVIDER #
FL0092854OtherCIGNA PROVIDER #
FL65103AMedicare PIN